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Pacific Crest Healthcare Independent Provider Association, Inc.
Exclusive Provider Organization in Newport Coast, California
NPI 1043977655

Pacific Crest Healthcare Independent Provider Association, Inc. is a Exclusive Provider Organization based in Newport Coast, CA. Pacific Crest Healthcare Independent Provider Association, Inc. practices in Newport Coast, CA. The NPI Number for Pacific Crest Healthcare Independent Provider Association, Inc. is 1043977655 and holds a License No. (California).

The current practice location address for Pacific Crest Healthcare Independent Provider Association, Inc. is 6 Veranda, Newport Coast, CA and can be reached out via phone at 818-399-8996.

Location: 6 Veranda, Newport Coast, CA, 92657-1632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043977655
Provider Name
Pacific Crest Healthcare Independent Provider Association, Inc.
Credential
Provider Entity Type
Organization
Address
6 Veranda, Newport Coast, CA, 92657-1632
Phone Number
818-399-8996
Fax Number
Provider Enumeration Date
11/18/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C4080636 01 CA CALIFORNIA SECRETARY OF STATE CORPORATION
institution
Provider Business Practice Location Address Details
Address
6 Veranda
City
Newport Coast
State
California
Zip
92657-1632
Phone Number
818-399-8996
Fax Number
person
Provider Business Mailing Address Details
Address
6 Veranda
City
Newport Coast
State
California
Zip
92657-1632
Phone Number
818-399-8996
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Exclusive Provider Organization
Speciality
-
Taxonomy
302F00000X
License No.
()
Definition
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
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